Active NPI
Cedric Edwards, M.D.
- Internal Medicine Physician
- Batesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21739
- Practice address
- 590 Highway 6 E
Batesville, MS 38606-3002 - Phone
- (662) 563-8703
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 21739 | MS | |
| Hospitalist Physician | 208M00000X | 21739 | MS | |
| Internal Medicine Physician | 207R00000X | 21739 | MS | Primary |
Addresses
Primary practice location
590 Highway 6 E
Batesville, MS 38606-3002
Mailing address
2340 Sunset Dr Ste C
Grenada, MS 38901-2827
Phone (662) 508-0098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05683563 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111228000404 | MS | Practitioner - Internal Medicine | 1153597935 | Reassigns benefits to 8 organizations |
| I20200310001744 | LA | Practitioner - Internal Medicine | 1153597935 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
100 Highway 8 W
Ste 1
Aberdeen, MS 39730
Phone (662) 304-5014
100 Highway 8 W
Ste 101
Aberdeen, MS 39730
Phone (662) 304-5014
155 Keating Rd
Batesville, MS 38606
Phone (601) 978-3366
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
1002 E Madison St
Houston, MS 38851
Phone (601) 456-3701
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- cedwards5285326@direct.casso.us.com
- nwmcedwar@yourcarecommunity.org
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
MS
-
- Emergency Medicine Physician
- Starkville, MS
- NPI 1093532889
MS
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
Hospitalist, LA
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1417654724
Internal Medicine, LA
-
- Addiction (Substance Use Disorder) Counselor
- Southaven, MS
- NPI 1750051173
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
MS
-
- Pain Clinic/Center
- Tupelo, MS
- NPI 1790385417
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Panola Physician Group LLCRH Emergency Medicine of Cleveland LLC
Practice addresses (Care Compare)
303 Medical Ctr Dr
Batesville, MS 38606-8608
Phone (662) 563-5611
901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 432-4106
Hospital & facility affiliations
- Bolivar Medical Center
- Panola Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1215224563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 SUNSET DR STE C",
"city": "GRENADA",
"state": "MS",
"postal_code": "389012827",
"telephone_number": "662-508-0098",
"fax_number": "662-735-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 HIGHWAY 6 E",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063002",
"telephone_number": "662-563-8703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CEDRIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MS",
"license": "21739",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "21739",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "21739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05683563",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.